Behavioral Health Case Manager

We need to output HTML fragment with sections only if content present. The job description includes many sections: About the role? Not explicitly but we can infer. The description includes "Job Description HealthPartners is hiring a Behavioral Health Case Manager." Then paragraphs about purpose, then "Accountabilities" with subheadings: Member Focus, Integration, Communication, Relationships and Team Building, Technology, Personal Development, Other Duties. Then "Required Qualifications". Then "Decision-making". Then "Major Challenges". Then "About Us". Then "Benefits Designed To Support Your Total Health". Then EEO boilerplate (remove). Also "We are an Equal Opportunity Employer..." remove. We need to use

for section headings (e.g., About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We must not repeat job title as heading. We must not put Job ID etc. We need to decide which sections to include based on content. We have content for: - About the role? Could be the initial description: "This position exists to provide support..." That's like role summary. Could be "About the role". We'll include that as

About the role

with

content. - Responsibilities: The "Accountabilities" section with subpoints. Could be considered responsibilities. We'll output

Responsibilities

with

• for each bullet? The content includes paragraphs under each subheading. We could treat each subheading as a list item? But we need to preserve all substantive info. Could output
  • Member Focus: ...
  etc. However spec says use
  • for any list of duties/requirements/benefits. So we can make a list where each item corresponds to a duty. We'll need to extract duties from the text. Let's parse Accountabilities: Member Focus: - Ensures all activities are member-focused and individualized, resulting in personalized attention to each patient’s unique needs. - Identifies interventions and resources to assist member reaching personal health related goals. - Identifies patterns and episodes of care that are predictive of future needs and services. Integration: - Integrates clinical and psychosocial information for case identification and individual patient assessment to develop action-oriented and time-specific planning and implementation of appropriate interventions. - Facilitates integration of patient care by encouragement of effective communications between patients, families, providers, health plan and care system programs, and community-based services. - Adheres to policy and procedure in daily activities. - Coordinates service coverage with appropriate funding sources when indicated. Communication: - Effectively and routinely communicates with patients, families, physicians and health care team members to facilitate successful collaboration resulting in high levels of member/patient/family/provider satisfaction. - Provides regular reporting of member outcomes to behavioral health leadership according to defined process. - Identifies and promptly reports potentially adverse situations to department leadership. - Identifies and promptly reports high cost cases for reinsurance. - Maintains confidentiality of information in accordance with department and corporate policies. Relationships and Team Building: - Establishes and maintains good working relationships within the Behavioral Health Improvement and Operations Department, with other HealthPartners Departments, and with other health team participants. - Supports other team members in achieving patient centered goals. - Assists supervisor in maintaining a cohesive team by contributing to a collaborative, respectful, and diverse environment. - Participates in and contributes to appropriate departmental and/or organizational meetings. - Acts as a liaison between internal customers, Marketing, Sales, Claims and Member Services to resolve systems/process issues. Technology: - Maintains knowledge of and effectively uses automated applications and systems. - Identifies deficits in technological literacy and seeks appropriate training under guidance of supervisor. - Maintains maximum individual productivity through proficient use of automated systems. Personal Development: - Participates in ongoing independent study and education-related professional activities to maintain and increase knowledge in the areas of case management, patient care services, and benefit packages for development of effective case management skills. - Demonstrates responsiveness to and appreciation of constructive feedback and recommendations for personal growth and development. - Maintains current, active Minnesota licensure. Other Duties: - Willingly participates in various committees, task forces, projects, and quality improvement teams, as needed and assigned. - Performs other duties as assigned. We can include these as list items. Next section: Required Qualifications. We'll have

    Qualifications

    (or Requirements). The spec mentions Requirements, Qualifications, Skills. We have Required Qualifications content. We'll output as

    Qualifications

    with
    • items. Required Qualifications text: - Licensed in Minnesota as LICSW, RN or Psychologist, Masters degree preferred. - Minimum of 3 years clinical practice experience; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical knowledge. - Demonstrated effective, clinical judgement and skills. - Demonstrated skill and experience in effectively collaborating with care team members, using a high level of expertise in written, oral and interpersonal communication. - Demonstrated working knowledge of QI, UM, benefit plans fiscal management, and various payment methodologies preferred. - Understanding of healthcare and/or HMO industry. - Demonstrated skill in effective use and management of automated medical management systems. - Demonstrated flexibility, organization, and appropriate decision-making under challenging situations. - Ability to organize and prioritize multiple assignments within workload. - Ability to deal with change and ambiguity. We can list each as
    • . Next: Decision-making section: It's a subsection under Required Qualifications? Actually after Required Qualifications there is "Decision-making" heading. We could treat as a separate section maybe "Decision-making" but spec only lists certain headings; we could include as part of Qualifications or as a separate section like "Decision-making". Since spec allows only those headings but says "Use

      for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It says e.g., not limited to those. So we can add Decision-making as a heading if content present. We'll include

      Decision-making

      with

      or

      . The content: Decision-making Makes independent decisions within the scope of this position’s accountabilities and determines the need for and the timing of consultation with behavioral health leadership. Uses sound judgement, organizational knowledge, industry knowledge, and common sense in determining appropriate alternatives for members/patients/families, consulting with leadership and/or Medical Director, when indicated. Utilizes the member contract coverage policy on-line benefits, level of care guidelines and Member or Claims Services on-line policies and procedures. Makes recommendations to leadership regarding policy development needs and/or changes. We'll put as

      . Next: Major Challenges: heading "Major Challenges". We'll include as

      Major Challenges

      with

      or

      . Content: Maintaining member focus in a rapidly evolving environment. Influencing team members and colleagues to work collaboratively in achieving the goals and objectives of the department. Maintaining timely, comprehensive reviews with concise documentation of pertinent facts, decisions and rationale. .Maintaining appropriate use of supervisory and consultation resources Note there is a stray period before Maintaining. We'll keep as is. Next: About Us: we can include as

      About the organization

      or

      About Us

      . The spec includes About the role but not About Us. However we can still use About Us as heading; it's not prohibited. We'll include

      About Us

      with

      . Next: Benefits: we have benefits description. We'll include

      Benefits

      with

      or

      . The benefits paragraph: "Designed To Support Your Total Health As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care. Join us in our mission to improve the health and well-being of our patients, members, and communities." We'll output as

      . We must remove EEO boilerplate and any duplicated lines. Also remove "We are an Equal Opportunity Employer..." etc. We must not include Pay or Schedule sections because not present. We must not include placeholder text. Now produce HTML fragment. We'll structure:

      About the role

      ... (the initial description)

      Responsibilities

      • ... (Member Focus items)
      ... etc. But we have many items; we could group by subheading inside list items with bold. That's okay. Alternatively we could make separate

      for each subheading but spec says prefer few substantive sections over many thin ones. So we keep one Responsibilities section with list items. We'll need to ensure we preserve all info. Let's craft list items: Member Focus: - Ensures all activities are member-focused and individualized, resulting in personalized attention to each patient’s unique needs. - Identifies interventions and resources to assist member reaching personal health related goals. - Identifies patterns and episodes of care that are predictive of future needs and services. Integration: - Integrates clinical and psychosocial information for case identification and individual patient assessment to develop action-oriented and time-specific planning and implementation of appropriate interventions. - Facilitates integration of patient care by encouragement of effective communications between patients, families, providers, health plan and care system programs, and community-based services. - Adheres to policy and procedure in daily activities. - Coordinates service coverage with appropriate funding sources when indicated. Communication: - Effectively and routinely communicates with patients, families, physicians and health care team members to facilitate successful collaboration resulting in high levels of member/patient/family/provider satisfaction. - Provides regular reporting of member outcomes to behavioral health leadership according to defined process. - Identifies and promptly reports potentially adverse situations to department leadership. - Identifies and promptly reports high cost cases for reinsurance. - Maintains confidentiality of information in accordance with department and corporate policies. Relationships and Team Building: - Establishes and maintains good working relationships within the Behavioral Health Improvement and Operations Department, with other HealthPartners Departments, and with other health team participants. - Supports other team members in achieving patient centered goals. - Assists supervisor in maintaining a cohesive team by contributing to a collaborative, respectful, and diverse environment. - Participates in and contributes to appropriate departmental and/or organizational meetings. - Acts as a liaison between internal customers, Marketing, Sales, Claims and Member Services to resolve systems/process issues. Technology: - Maintains knowledge of and effectively uses automated applications and systems. - Identifies deficits in technological literacy and seeks appropriate training under guidance of supervisor. - Maintains maximum individual productivity through proficient use of automated systems. Personal Development: - Participates in ongoing independent study and education-related professional activities to maintain and increase knowledge in the areas of case management, patient care services, and benefit packages for development of effective case management skills. - Demonstrates responsiveness to and appreciation of constructive feedback and recommendations for personal growth and development. - Maintains current, active Minnesota licensure. Other Duties: - Willingly participates in various committees, task forces, projects, and quality improvement teams, as needed and assigned. - Performs other duties as assigned. We'll put each bullet as

      with the subheading bold maybe. Now Qualifications list:

      Qualifications

      • Licensed in Minnesota as LICSW, RN or Psychologist; Masters degree preferred.
      • Minimum of 3 years clinical practice experience; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical knowledge.
      • Demonstrated effective clinical judgement and skills.
      • Demonstrated skill and experience in effectively collaborating with care team members, using a high level of expertise in written, oral and interpersonal communication.
      • Demonstrated working knowledge of QI, UM, benefit plans fiscal management,